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Individual

DR. SCOTT R BRIZIUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
2700 LINCOLN AVE, EVANSVILLE, IN 47714-1628
(812) 477-8696
(812) 477-1874
Mailing address
2700 LINCOLN AVE, EVANSVILLE, IN 47714-1628
(812) 477-8696
(812) 477-1874

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
IN1919
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100320150A
IN
01
IN1919
STATE LICENSE NUMBER
IN
Enumeration date
12/14/2005
Last updated
10/26/2011
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